Shannon Benavidez, is a
Massage Therapist based in Wimauma, Florida. Shannon Benavidez is licensed to practice in Florida (license number 89833) and her current practice location is
2024 7th St, Wimauma, Florida. She can be reached at her office (for appointments etc.) via phone at
(217) 255-3744.
NPI number for Shannon Benavidez is 1629682398 and her current mailing address is 2024 7th St, Wimauma, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629682398.
Healthcare Provider's Profile
Full Name | Shannon Benavidez |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 2024 7th St, Wimauma, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629682398
- Provider Enumeration Date: 09/01/2020
- Last Update Date: 02/22/2023
Medical Identifiers
Medical identifiers for Shannon Benavidez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629682398 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 89833 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Benavidez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shannon Benavidez, 2024 7th St, Wimauma, FL 33598-3237 Ph: (217) 255-3744 | Shannon Benavidez, 2024 7th St, Wimauma, FL 33598-3237 Ph: (217) 255-3744 |
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